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Re. Re.: "Immunothrombotic dysregulation in Chagas disease and COVID19: a comparative study of anticoagulation"
Laura Pérez-Campos Mayoral1, María Teresa Hernández-Huerta2, Eduardo Pérez-Campos Mayoral1
1Centro de Investigación Facultad de Medicina UNAM-UABJO, Facultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, 68020, Oaxaca, Mexico.
Insights
This letter addresses commentary on immunothrombotic dysregulation in Chagas disease (CD) and COVID-19. It highlights indirect evidence of thrombotic alterations, including cerebral thrombosis, in CD, even in non-cardiopathic forms.
Area of Science:
- Hematology and Immunology
- Infectious Diseases
- Cardiology
Background:
- The commentary questions the link between Chagas disease (CD) forms and thromboembolic events.
- It posits that only thrombogenic alterations in CD with cardiopathy are relevant.
- This response asserts that indirect evidence supports thrombotic alterations in CD beyond cardiopathy.
Purpose of the Study:
- To respond to a commentary regarding immunothrombotic dysregulation in Chagas disease (CD) and COVID-19.
- To clarify the evidence supporting thrombotic alterations in various forms of CD.
- To reinforce the assertion of thrombotic risks in CD based on existing data.
Main Methods:
- Review and discussion of previously published data.
- Comparative analysis of immunothrombotic mechanisms in Chagas disease and COVID-19.
- Addressing specific points raised in the commentary regarding CD classifications and thrombotic events.
Main Results:
- Indirect evidence suggests thrombotic alterations, such as cerebral thrombosis, occur in Chagas disease.
- These alterations may not be limited to CD with cardiopathy.
- The authors maintain their assertion based on a review of relevant literature.
Conclusions:
- Thrombotic alterations in Chagas disease warrant further investigation across all disease forms.
- The discussion highlights the complexity of immunothrombotic dysregulation in infectious diseases.
- Further research is needed to fully elucidate the relationship between CD, COVID-19, and thrombotic events.
Abstract:
Re. Re.: "Immunothrombotic dysregulation in Chagas disease (CD) and COVID-19: a comparative study of anticoagulation": In the commentary on our paper, Hasslocher-Moreno made the point that indeterminate and digestive forms are not related to thromboembolic events, only thrombogenic alterations occur in CD with cardiopathy, however there is indirect evidence related to thombotic alterations, such as cerebral thrombosis. Our assertion is based on previous data discussed in this letter.
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